From the health of the hip joints depends on the motor function of a person. Injuries or neuralgia, left without treatment, lead to consequences up to the complete impossibility to walk on their own. Pinched nerve in the hip joint often occurs due to traumatic effects or pregnancy. It is accompanied by severe pain and requires urgent treatment.
Types of trapping
With severe pain, giving up in the leg, it is difficult to determine its source. Pelvic neuralgia is divided into two types depending on which nerve was damaged:
- outer skin;
- upper buttock;
- lower buttock.
One of the main reasons for the pinched nerve in the hip joint is osteochondrosis in the lumbar spine. With the disease, cartilage and bones are destroyed, intervertebral discs are wiped, hernias may occur. All this can lead to the impairment of the nerve channels between the muscle ligaments or tendons.
The risk of neuralgia is increased in people who are not accustomed to heavy loads. Walking too long for a walk or an incorrect gymnastics load for a beginner will easily lead to a spasm of the piriformis muscle, which puts pressure on the sciatic nerve. The same happens with a long stay in an uncomfortable posture and with hypothermia.
Important! The cause of neuralgia is cancer. Tumor growth provokes a pinched nerve.
Inflammatory processes in the pelvic region and acute colds also provoke neuralgia in the joints. Risk factors include a sedentary lifestyle, especially with obesity. Less common is a genetic predisposition to the disease, when individual features of the pelvis structure and pathology of the nervous system lead to neuralgia.
A separate cause of neuralgia is pregnancy. This condition increases the load on the entire body, especially on the internal organs, the spine and joints. The enlarged uterus puts pressure on neighboring organs and on nerve bundles. When careless movement can provoke a sharp pain. Unpleasant sensations are aggravated by back pain due to stress on the lumbar spine.
Symptoms of the disease
There are common symptoms of a pinched nerve in the thigh. Pain when moving and muscle weakness are the first signs of a pinched nerve. Painful sensations often increase at night and under high loads and sudden movements. The list of remaining symptoms depends on which nerve was pinched:
- Femoral. The pain spreads from the loin to the lower leg, as a result of which the work of not only the hip but also the knee is disturbed. When the nerve is pinched, the thigh muscles weaken, and if there is insufficient treatment, there is a risk of atrophy.
- External skin. In addition to pain, there is a burning sensation on the skin, goosebumps may occur, with time the sensations increase. In addition, increased sweating, hair may fall out.
- Locking. Pain is localized in the thigh and pelvis. These manifestations are enhanced by moving the leg to the side, in the sitting position and when the limb is on weight. It is difficult to maintain a vertical position of the body due to weakness in the muscles. Muscle spasms are characteristic of the strangulated obturator nerve.
- Sciatic. The patient feels numbness in the legs from the foot to the hips. If the sciatic nerve is pinched, it is painful to bend the knees, it is difficult to walk, the sensitivity of the toes is lost.
- Upper gluteus maximus. The pain spreads around the lower back and buttocks, it is difficult to move the hips.
- Lower buttock. Pain is concentrated in the area of the hip joint and buttocks. The patient has difficulty getting up and moving fast.
Nerve infringement in the thigh is not only fraught with serious consequences, but can also be a symptom of a dangerous disease. When the first symptoms appear, you should consult a doctor and begin treatment.
The neurologist deals with the treatment and diagnosis. To identify the cause of the symptoms, examination and complaints of the patient are sufficient. To exclude other diseases besides neuralgia, several diagnostic methods are used.
The most common are MRI and CT of the joints and the lumbar spine, an x-ray of the pelvis, and biochemical analyzes of urine and blood. Further treatment of pinching in the hip joint is prescribed based on the results of examinations and strictly under the supervision of the attending physician.
The disease is successfully treated with the use of complex therapy, consisting of taking medication, physiotherapy and gymnastics. In addition, the patient needs to review their diet and lifestyle.
Treatment of pinched nerve in the hip joint may include traditional medicine methods, but only with the approval of a specialist. Self-selection of drugs and prescriptions will, at best, reduce the effectiveness of traditional therapy, and at worst lead to complications.
Relieving pain symptoms is the first thing to do when treating a pinched nerve. For this purpose, analgesics are prescribed, administered intramuscularly in the first few days (Novocain, Analgin, Ketorol). Subsequent treatment is continued with the intake of drugs in the form of tablets.
The duration of the course depends on the severity of the disease and associated symptoms. With low effectiveness of therapy, the doctor may prescribe hormonal drugs.
Used to relieve swelling in the muscles and nerves. Non-steroidal anti-inflammatory drugs, including they have analgesic properties (Ibuprofen, Diclofenac, Ketoprofen, etc.).
In the first 5-10 days of treatment of the disease, the drugs are injected intramuscularly, this allows you to speed up the effect of exposure to drugs. As soon as the acute symptoms are removed, the doctor prescribes the same means to take in pill form. Anti-inflammatory drugs for local use are also used for the treatment. The course lasts from 14 days to 1 month.
Physiotherapy is used after pain has been removed and inflammatory processes have been stopped. Physiotherapy techniques aimed at restoring muscle function, help relieve tension, improve blood circulation and metabolism in tissues.
For treatment use:
- laser therapy;
- therapeutic baths;
- mud wraps;
- magnetic therapy.
In addition to hardware methods, baths and wraps, massage is widely used. The procedure is prescribed only by a doctor, since too early onset can aggravate the disease and provoke a re-pinch of the nerve. Massage warms and relaxes muscles, relieves spasms, improves blood circulation and helps to recover faster.
The number and intensity of exercise is selected gradually. At first, gymnastics is performed while lying down with accurate flexion and extension of the legs and rotations in the joints of the hips and knees.
When the patient is able to get up, the exercises are supplemented by bending, squats, swinging and hanging. The program of therapeutic gymnastics should be selected by the doctor taking into account the patient’s condition, and the first exercises are performed under his supervision.
The most popular methods of alternative medicine in the treatment of neuralgic diseases include acupuncture. Introducing needles into bioactive points relieves pain and relaxes muscles. In addition to acupuncture use hirudotherapy and heating.
Important! In inflammatory processes, it is impossible to warm a sore spot.
Among the folk remedies that can be used at home, choose a variety of compresses and rubbing. Popular spirit tinctures of medicinal plants (oak bark, thyme, dandelion, young pine cones, needles), propolis, red chili pepper. Using these methods, it is worth considering that some plants are strong allergens.
Mode and power
At the acute stage of neuralgia, the patient needs bed rest. The bed should be hard, and the mattress and pillows should support the anatomically correct position of the spine. You need to sleep on your back or on your side on a low pillow. After 2-3 days you can get up and walk, and after a week to make walks in the fresh air.
From the diet should be excluded any products that enhance swelling in the body. First of all, it is spicy dishes, spices, pickles and smoked meats. During the treatment period, you need to eat more fresh vegetables and fruits, vegetable soups, simple porridges on the water, boiled lean meat, steamed fish.
When is surgery required?
Surgical intervention – an extreme measure, which is resorted to when:
- the ineffectiveness of drug treatment;
- advanced disease;
- too rapid development of the disease;
- violation of the pelvic organs;
- malignant tumor.
Surgeons use the nerve fiber decompression method.
Even after a full recovery, there is a risk of pinching the hip nerve again. To avoid this, it is necessary to treat the diseases that can provoke infringement in time.
It is also important to dress according to the weather, not to sit in drafts and avoid too heavy loads during sports. Moderate physical activity and gymnastics, an active lifestyle and health control will help avoid relapses.